Creation of an extra-intracranial microanastomosis in a patient with squamous cell lung cancer and symptomatic internal carotid artery occlusion
M. M. Davydov,
R. L. Kambiev,
A. A. Filatov,
M. S. Shogenov,
E. V. Glukhov,
V. N. Rashidov,
I. A. Dadiev,
E. K. Ibragimov,
E. R. Nigmatullina,
A. V. Meladze https://doi.org/10.17650/2782-3202-2025-5-2-21-26
Abstract
The article presents an example of successful surgical treatment of a 73-year-old patient with symptomatic occlusion of the internal carotid artery, which resulted in transient cerebral hemodynamic disturbance and was accompanied by a speech disorder in the form of dysarthria. An extra-intracranial microanastomosis for revascularization of the left cerebral hemisphere was performed. The peculiarity of this case is the combination of the progressive course of squamous cell lung cancer and occlusion of the left internal carotid artery. To date, such a combination of pathologies has not been described in the medical literature, which makes this case particularly significant for clinical practice.
About the Authors
M. M. Davydov
Clinical Hospital “Lapino” of the “Mother and Child” Group of companies;
I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University)
Russian Federation
Russian Federation
111 1st Uspenskoe Shosse, Lapino, Moscow region 143081,
Bld. 2, 8 Trubetskaya St., Moscow 119991
R. L. Kambiev
Clinical Hospital “Lapino” of the “Mother and Child” Group of companies
Russian Federation
Russian Federation
Renat L. Kambiev
111 1st Uspenskoe Shosse, Lapino, Moscow region 143081
A. A. Filatov
Clinical Hospital “Lapino” of the “Mother and Child” Group of companies
Russian Federation
Russian Federation
111 1st Uspenskoe Shosse, Lapino, Moscow region 143081
M. S. Shogenov
Clinical Hospital “Lapino” of the “Mother and Child” Group of companies
Russian Federation
Russian Federation
111 1st Uspenskoe Shosse, Lapino, Moscow region 143081
E. V. Glukhov
Clinical Hospital “Lapino” of the “Mother and Child” Group of companies
Russian Federation
Russian Federation
111 1st Uspenskoe Shosse, Lapino, Moscow region 143081
V. N. Rashidov
Clinical Hospital “Lapino” of the “Mother and Child” Group of companies
Russian Federation
Russian Federation
111 1st Uspenskoe Shosse, Lapino, Moscow region 143081
I. A. Dadiev
“Medicine”, JSC (Academician Roitberg Clinic)
Russian Federation
Russian Federation
10 2nd Tverskaya-Yamskaya Lane, Moscow 125047
E. K. Ibragimov
Clinical Hospital “Lapino” of the “Mother and Child” Group of companies
Russian Federation
Russian Federation
111 1st Uspenskoe Shosse, Lapino, Moscow region 143081
E. R. Nigmatullina
Clinical Hospital “Lapino” of the “Mother and Child” Group of companies;
MGIMO-MED Medical University
Russian Federation
Russian Federation
111 1st Uspenskoe Shosse, Lapino, Moscow region 143081,
10 2nd Tverskaya-Yamskaya Lane, Moscow 125047
A. V. Meladze
I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University)
Russian Federation
Russian Federation
Bld. 2, 8 Trubetskaya St., Moscow 119991
References
1. Clinical recommendations for the surgical treatment of stenosing lesions of the main arteries of the brain in a neurosurgical hospital. Association of Neurosurgeons of Russia. Moscow, 2014. (In Russ.).
2. Usachev D.Yu., Lukshin V.A., Yakovlev S.B. et al. A 20-year experience in surgical treatment of steno-occlusive lesion of craniocervical arteries at the Burdenko Neurosurgical Center. Zhurnal Voprosy neyrokhirurgii im. N.N. Burdenko = Burdenkoʼs Journal of Neurosurgery 2020;84(3):6–20. (In Russ., in Engl.). DOI: 10.17116/neiro2020840316
3. Shetova I.M., Shtadler V.D., Matveev P.D. et al. Surgical treatment of cerebral aneurysms in the acute period of subarachnoid hemorrhage: long-term result. Zhurnal im. N.V. Sklifosovskogo Neotlozhnaya khirurgicheskaya pomosch = Russian Sklifosovsky Journal “Emergency Medical Care” 2021;10(2):328–36. (In Russ.). DOI: 10.23934/2223-9022-2021-10-2-328-336
4. Callen A.L., Caton M.T., Rutledge C. et al. The effect of extracranial-to-intracranial bypass on cerebral vasoreactivity: a 4D flow MRI pilot study. J Neuroimaging 2020;30(5):587–92. DOI: 10.1111/jon.12776
5. Chien-Tung Y., Chen C.C. Case report of intracranial large vessel occlusion in glioblastoma multiforme patient after radiation therapy. Medicine (Baltimore) 2023;102(2):e32682. DOI: 10.1097/MD.0000000000032682
6. Krylov V.V., Lukyanchikov V.A. Cerebral revascularization for the treatment of patients with acute ischemic stroke. Zhurnal nevrologii i psikhiatrii im. S.S. Korsakova = S.S. Korsakov Journal of Neurology and Psychiatry 2014;114(12–2):46–52. (In Russ.). DOI: 10.17116/jnevro201411412246-52
7. Krylov V.V., Senko I.V., Amiralieva M.S. et al. Moyamoya disease in adults: treatment methods in modern era. Zhurnal nevrologii i psikhiatrii im. S.S. Korsakova = S.S. Korsakov Journal of Neurology and Psychiatry 2024;124(3–2):75–82. (In Russ.). DOI: 10.17116/jnevro202412403275
8. Krylov V.V., Polunina N.A., Lukyanchikov V.A. et al. The use of combined revascularization surgery for successful elimination of a middle cerebral artery aneurysm. Zhurnal Voprosy neyrokhirurgii im. N.N. Burdenko = Burdenkoʼs Journal of Neurosurgery 2016;80(2): 63–71. (In Russ., in Engl.). DOI: 10.17116/neiro201680263-71
9. Krylov V.V., Nakhabin O.Yu., Polunina N.A. et al. High-flow extracranial-intracranial (EC-IC) bypass surgery in a patient with giant right cavernous ica aneurysm. Zhurnal Voprosy neyrokhirurgii im. N.N. Burdenko = Burdenkoʼs Journal of Neurosurgery 2012; 76(5):40–7. (In Russ.).
10. Krylov V.V., Lukyianchikov V.A., Polunina N.A. et al. Surgical revascularization of the brain in patients with acute ischaemic stroke. Angiologiya i sosudistaya khirurgiya. Zhurnal im. akad. A.V. Pokrovskogo = Angiology and Vascular Surgery 2020;26(2):124–32. (In Russ.). DOI: 10.33529/ANGIO2020207
11. Lukshin V.A., Usachev D.Yu., Shulgina A.A., Shevchenko E.V. Local cerebral hemodynamics following STA-MCA bypass in patients with symptomatic carotid occlusions. Zhurnal Voprosy neyrokhirurgii im. N.N. Burdenko = Burdenkoʼs Journal of Neurosurgery 2019;83(3):29–41. (In Russ., In Engl.). DOI: 10.17116/neiro20198303129
12. Pilipenko Y.V., Eliava S.S., Konovalov A.N. et al. The results of surgery for giant aneurysms of the middle cerebral arteries: a retrospective study. Almanakh klinicheskoy meditsiny = Almanac of Clinical Medicine 2023;51(1):32–44. (In Russ.). DOI: 10.18786/2072-0505-2023-51-005
13. Pilipenko Y.V., Konovalov A.N., Eliava S.S. et al. Successful combination treatment of giant bicameral fusiform partially thrombosed vertebral artery aneurysm at 12-year-old patient (practical case and literature review). Zhurnal Voprosy neyrokhirurgii im. N.N. Burdenko = Burdenkoʼs Journal of Neurosurgery 2019; 83(5):67–77. (In Russ.). DOI: 10.17116/neiro20198305167
14. Usachev D.Yu., Lukshin V.A., Shmigelʼskiy A.V. et al. Carotid endarterectomy in patients with symptomatic occlusions of the contralateral internal carotid artery. Zhurnal Voprosy neyrokhirurgii im. N.N. Burdenko = Burdenkoʼs Journal of Neurosurgery 2017;81(6):5–15. (In Russ.). DOI: 10.17116/neiro20178165-15
15. Wu P., Yuan G., Zhou R. et al. Extracranial/intracranial vascular bypass in the treatment of head and neck cancer-related carotid blowout syndrome. Laryngoscope 2021;131(7):1548–56. DOI: 10.1002/lary.29427
16. Wessels L., Hecht N., Vajkoczy P. Bypass in neurosurgery – indications and techniques. Neurosurg Rev 2019;42(2):389–93. DOI: 10.1007/s10143-018-0966-9
17. Smith RD. Extracranial-intracranial bypass in cerebral ischemia. Ochsner J 2003;5(1):31–5.
18. Gumprecht H.K., Widenka D.C., Lumenta C.B. First experience with the BrainLab VectorVision neuronavigation system. In: Minimally invasive techniques for neurosurgery. Ed. by: D. Hellwig, B.L. Bauer. Berlin, Heidelberg: Springer, 1998. Pp. 207–213. DOI: 10.1007/978-3-642-58731-3_36
Review
For citations:
Davydov M.M., Kambiev R.L., Filatov A.A., Shogenov M.S., Glukhov E.V., Rashidov V.N., Dadiev I.A., Ibragimov E.K., Nigmatullina E.R., Meladze A.V. Creation of an extra-intracranial microanastomosis in a patient with squamous cell lung cancer and symptomatic internal carotid artery occlusion. MD-Onco. 2025;5(2):21-26. (In Russ.) https://doi.org/10.17650/2782-3202-2025-5-2-21-26
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